| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.59 | $81.59 | $81.59 | |
Martin's Point
| Professional | $81.59 | $81.59 | $81.59 |
Inj., Susvimo, 0.1 Mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.59 | $81.59 | $81.59 | |
Martin's Point
| Professional | $81.59 | $81.59 | $81.59 |